The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia and Facial Palsy

양안의 완전 외안근마비와 편측 안면마비를 동반한 밀러-피셔 증후군 환자 치험 1례

  • Ji-Min Choi (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University) ;
  • In-Jeong Jo (Department of OB & GY, Wonkwang University Gwangju Korean Medicine Hospital) ;
  • Seok-Hun Hong (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Wonkwang University)
  • 최지민 (원광대학교 한의과대학 안이비인후피부과학교실) ;
  • 조인정 (원광대학교 광주한방병원 부인과학교실) ;
  • 홍석훈 (원광대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2024.07.04
  • Accepted : 2024.08.02
  • Published : 2024.08.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study is to report that the effect of Korean medical treatments on Miller-Fisher Syndrome with ophtalmoplegia and facial palsy. Methods : We treated a 69-year-old female diagnosed with Miller-Fisher syndrome with ophthalmoplegia, right facial palsy and other symptoms. She received Korean medical treatments such as herbal medicine(Gamiboik-tang), cupping therapy and acupuncture(including pharmacopuncture). The severity of ophthalmoplegia was evaluated by length of the eyeball movement and Scott and Kraft score. The severity of facial palsy was evaluated by Yanagihara score and the severity of other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was evaluated by VAS. Results : Each neurological symptoms were improved after Korean medical treatments. In case of ophthalmop legia, Scott and Kraft score increase from -4 to 0. There were no restrictions on eye movements. In case of facial palsy, Yanagihara score increased from 10 to 40. Also, other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was improved. Conclusions : This case report suggests that Korean medical treatments can be effective for Miller-Fisher Syndrome patient with Ophthalmoplegia and Facial Palsy.

Keywords

References

  1. Fisher M. An unusual variant of acute idiopathic polyneuritis (syndrome of ophthalmoplegia, ataxia and areflexia). N Engl J Med. 1956;255(2):57-65.
  2. Snyder L, Rismondo V, Miller N. The Fisher variant of Guillain-Barre syndrome (Fisher syndrome). J Neuroophthalmol. 2009;29(4):312-24.
  3. Jeong EJ, Choi DJ, Ko CN, Cho KH, Kim YS, Bae HS, et al. A Case of Miller-Fisher Syndrome. Journal of Korean Medicine. 2000;20(4):98-105.
  4. Du IS, Kim JM, Hong CH, Seo ES, Park MC, Kim NK. Case of Oculomotor Nerve Palsy in Miler Fisher Syndrome. Korean Journal of Oriental Physiology & Pathology. 2003;17(3):842-5.
  5. Cha HJ, Lee JW, Seo YM, Seo DW, Park SJ. A Case Report of Miller-Fisher Syndrome. The Korean Society of Oriental Neuropsychiatry. 2009;20(3):229-36.
  6. Lee HK, Suh WJ, Kim JH, Cho KH, Moon SK, Jung WS, et al. A case of Miller Fisher Syndrome treated with Traditional Korean Medicine. Journal of the Society of Stroke on Korean Medicine. 2019;20(1):33-42.
  7. Yoon SY. Roh MY, Kam EY, Kang EJ, Kim JH, Choi JH, et al. A Case Report of Miller-Fisher Syndrome with Bilateral Abducens Nerve Palsy. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(4):133-44.
  8. Mori M, Kuwabara S, Fukutake T, Hattori T. Intravenous immunoglobulin therapy for Miller Fisher syndrome. Neurology. 2007;68(14):1144-6.
  9. No JH, Go CN, Jo GH, Kim YS, Bae HS, Lee GS. The Oriental and Western Medical Study of Wei Symptom. The Journal of Korean Oriental Internal Medicine. 1996;17(1):81-106.
  10. Noh SS. Ophthalmology & Otolaryngology. 3rd ed. Seoul:Iljungsa. 2007:294,295.
  11. Ju YS. Ungok Herbology. Jeonju:Woosuk publishing group. 2013:857-63,975,976.
  12. Lee SM, Ji YS, Lee CW, Jeon JH, Kim JH, Kim YI. A Case Report of Atypical Miller-Fisher Syndrome. Journal of Korean acupuncture & moxibustion medicine society. 2012;29(6):105-10.
  13. Ryu JY, Lee KW, Cho MK, Cho HK, Yoo HR, Seol IC, et al. Case Report : Miller Fisher Syndrome. The Journal of Internal Korean Medicine. 2016;37(4):661-8.
  14. Song MS, Yoon HJ, Ko WS. A Case of Delayed Facial Palsy and Dizziness in Miller-Fisher Syndrome. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(3):254-61.
  15. Kim SH, Lee JH, Kang EJ, Park JW, Hong SH. A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(2):130-9.
  16. Kim HY, Kim JH, Won SY, Yoo HR, Seol IC, Kim YS. A Case Report: Korean Medicine Treatment for Miller-Fisher Syndrome with Ophthalmoplegia. The Journal of Korean Oriental Internal Medicine. 2022;43(4):761-8.
  17. Chiba A, Kusunoki S, Obata H, Machinami R, Kanazawa I. Serum anti-GQ1b immunoglobulin G antibody is associated with ophthalmoplegia in Miller Fisher syndrome and Guillain-Barre' syndrome: Clinical and immunohistochemical studies. Neurology. 1993;43(10):1911-7.
  18. Lee KY. Anti-GQ1b-Negative Miller Fisher Syndrome After Campylobacter jejuni Enteritis. Pediatric Neurology. 2012;47(3):213-5.
  19. Koga M, Gilbert M, Takahashi M, Li J, Hirata K, Kanda T, et al. GQ1-bseronegative Fisher syndrome: clinical features and new serological markers. J Neurol. 2012;259(7):1366-74.
  20. Park BG. Hanbangimsang 40 years. 2nd revised edition. Wonju:Uibang Publisher. 2012:466,467.